<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Insert title here</title>
</head>
<body>
<form action="CadastrarCliente" method="post">

<fieldset>
<legend>Cliente</legend>
<label for="rz">Razao Social</label>
<input type="text" name="razao_social" id="rz">

<label for="cnpj">CNPJ</label>
<input type="text" name="cnpj" id="cnpj">

<label for="fantasia">Nome Fantasia</label> 
<input type="text" name="fantasia" id="fantasia">

</fieldset>

<fieldset>
<legend>Contatos</legend>

<label for="nome-contato">Nome</label>
<input type="text" name="nome-contato[]" id="nome-contato">

<label for="contato">Telefone</label>
<input type="text" name="contato[]" id="contato">

<label for="email-contato">E-mail</label>
<input type="text" name="email-contato[]" id="email-contato">



</fieldset>

<fieldset>
<legend>Contatos Cobranca</legend>

<label for="nome-contato-cobranca">Nome</label>
<input type="text" name="nome-contato-cobranca[]" id="nome-contato-cobranca">

<label for="contato-cobranca">Telefone</label>
<input type="text" name="contato-cobranca[]" id="contato-cobranca">

<label for="email-contato-cobranca">E-mail</label>
<input type="text" name="email-contato-cobranca[]" id="email-contato-cobranca">



</fieldset>



<fieldset>
<legend>Dominio</legend>

<label for="dominio">Nome</label>
<input type="text" name="dominio[]" id="dominio">

<label for="data">Data de Expiracao</label>
<input type="text" name="data_exp[]" id="data">

<label for="idRBR">Login Registro BR</label>
<input type="text" name="idrbr[]" id="idRBR">

<label for="senhaBr">Senha Registro BR</label>
<input type="text" name="senhabr[]" id="senhaBr">



<label for="gerenc">Gerenciamento</label>
<select name="gerenciamento[]" id="gerenc">
<option value="0">BRASILNET</option>
<option value="1">Cliente</option>
</select>


</fieldset>

<fieldset>
<legend>Endereco</legend>

<label for="rua">Rua</label>
<input type="text" name="rua" id="rua">

<label for="numero">Numero</label>
<input type="text" name="numero" id="numero">

<label for="bairro">Bairro</label>
<input type="text" name="bairro" id="bairro">

<label for="cep">CEP</label>
<input type="text" name="cep" id="cep">

<label for="cidade">Cidade</label>
<input type="text" name="cidade" id="cidade">

<label for="estado">Estado</label>
<input type="text" name="estado" id="estado">

</FIELDSET>

<fieldset>
<legend>Sistema</legend>
<label for="tipo_sistema">Sistema</label>
<select name="tipo_sistema[]" id="tipo_sistema">
<option>Actuale</option>
<option>Administer</option>
<option>Por ai vai</option>
</select>

<label for="login-sistema">Login do Sistema</label>
<input type="text" name="login-sistema[]" id="login-sistema">

<label for="senha-sistema">Senha do Sistema</label>
<input type="text" name="senha-sistema[]" id="senha-sistema">

</fieldset>

<fieldset>
<legend>Telas do Site</legend>
<label for="tela-site">Tela do Site</label>
<input type="file" name="tela-site[]" id="tela-site">
</fieldset>

<input type="submit" value="Cadastrar">
</form>
</body>
</html>